Thank you for this summary approach to people living with LBP .
My challenge is people expect quick fix and fast cure and i try to help this how to live with it and self manage to enable them to function and enjoy QOL .Just spending more time may help .Right???
Good question! There are no guidelines set in stone. Typically you want blood pressure controlled over three months, and it’s stable, you can monitor usually every 3 to 6 months. Depending on the medication used, you would monitor with diagnostic labs, for example, kidneys, electrolytes, etc..
I can’t comment on the smoking… I always advocate for smoking cessation! But I agree, sleep apnoea, alcohol use, obesity… All factors that contribute to high blood pressure and so important to implement changes in these areas to both control blood pressure, and also prevent complications!
I routinely ask their use of alcohol , in particular hard liquors (whisky , rum ), I find people who use them regularly have HT. And they are difficult to control until they quit . Same with lack of sleep . If they don’t sleep well their BO would remain high . No matter what medication one use . That’s why sometimes CPAP , use if sleep aids are useful . Interestingly I find most of the smoker specially those who are slim , don’t have HT ! Can’t explain why , is it the (good) side effect of smoking .
I was surprised at the fact that Dr Hall did not mention the sacroiliac joints as a cause of low back pain. The pelvic bones carry the weight of the whole upper body and this weight tends to push them away from the sacrum where they attach. In addition to this, the hip joints are inside the pelvic bones, so the sacroiliac joints also absorb the shock every time our foot hits the ground. The SI joints are the only ones that are irregular, as they act as shock absorbers and, because of this, they cannot be seen with medical imaging. Because the SI joints are under so much stress, there are more ligaments stabilizing the SI joints than any other joint in the body, including ligaments inside the joints. The only way to properly diagnose the alignment of the pelvic bones on the sacrum is through physical examination. Once you know whether the bone is displaced anteriorly or posteriorly, a simple, two-minute exercise, using the hyper flexed thigh to push the innominate bone backwards if it is displaced anteriorly or the hyper extended thigh to pull it forward, if it is displaced posteriorly has a 90% chance of producing immediate pain relief. I have published an article on this particular subject, which you can access at: Bertrand, H, et al, (2021) Self-treatment of chronic low back pain based on a rapid and objective sacroiliac asymmetry test: a pilot study. Cureus, 13(11), e19483. doi.org/10.7759/cureus.19483
Very simple and step by step approach to diagnose back pain and its management. It will take a while to change the approach of the patients as majority of them( not all) just want pills instead of doing physiotherapy. Thanks.
Thank you for this summary approach to people living with LBP .
My challenge is people expect quick fix and fast cure and i try to help this how to live with it and self manage to enable them to function and enjoy QOL .Just spending more time may help .Right???
Good question! There are no guidelines set in stone. Typically you want blood pressure controlled over three months, and it’s stable, you can monitor usually every 3 to 6 months. Depending on the medication used, you would monitor with diagnostic labs, for example, kidneys, electrolytes, etc..
I can’t comment on the smoking… I always advocate for smoking cessation! But I agree, sleep apnoea, alcohol use, obesity… All factors that contribute to high blood pressure and so important to implement changes in these areas to both control blood pressure, and also prevent complications!
Thank you for listening and commenting!
How do we follow up patients who are diagnosed with HT and started treatment ?
I routinely ask their use of alcohol , in particular hard liquors (whisky , rum ), I find people who use them regularly have HT. And they are difficult to control until they quit . Same with lack of sleep . If they don’t sleep well their BO would remain high . No matter what medication one use . That’s why sometimes CPAP , use if sleep aids are useful . Interestingly I find most of the smoker specially those who are slim , don’t have HT ! Can’t explain why , is it the (good) side effect of smoking .
FANTASTIC
I am not aware that the drug you are taking for amyloid has been examined for Alzheimer's disease
I am currently on a drug called vandamax[tafamidis] for the DX of cardiac attr amyloidosis
Has this drug also been considered to treat mic or dementia
I was surprised at the fact that Dr Hall did not mention the sacroiliac joints as a cause of low back pain. The pelvic bones carry the weight of the whole upper body and this weight tends to push them away from the sacrum where they attach. In addition to this, the hip joints are inside the pelvic bones, so the sacroiliac joints also absorb the shock every time our foot hits the ground. The SI joints are the only ones that are irregular, as they act as shock absorbers and, because of this, they cannot be seen with medical imaging. Because the SI joints are under so much stress, there are more ligaments stabilizing the SI joints than any other joint in the body, including ligaments inside the joints. The only way to properly diagnose the alignment of the pelvic bones on the sacrum is through physical examination. Once you know whether the bone is displaced anteriorly or posteriorly, a simple, two-minute exercise, using the hyper flexed thigh to push the innominate bone backwards if it is displaced anteriorly or the hyper extended thigh to pull it forward, if it is displaced posteriorly has a 90% chance of producing immediate pain relief. I have published an article on this particular subject, which you can access at: Bertrand, H, et al, (2021) Self-treatment of chronic low back pain based on a rapid and objective sacroiliac asymmetry test: a pilot study. Cureus, 13(11), e19483. doi.org/10.7759/cureus.19483
Very simple and step by step approach to diagnose back pain and its management. It will take a while to change the approach of the patients as majority of them( not all) just want pills instead of doing physiotherapy. Thanks.